Organization
COASTAL HORIZONS CENTER, INC.
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC LUTTMER (ASSISTANT DIRECTOR)
(910) 343-0145
Entity
Organization
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Mailing address
523 MILL CREEK CT, APT. C, WILMINGTON, NC 28403-8529
(910) 524-0365
(910) 341-5779
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
190232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6004050
—
NC
Enumeration date
10/25/2006
Last updated
07/21/2022
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